rap sanevoen? A PLDT CUSTOMER INFORMATION SHEET FOR RESIDENTIAL USE Home ‘O New application O Change of ownership: O Update of information CIS No, FestName: Mid Name: snow [i ]..]- -ETE TEE] cmnder Qrse Orerle coasuns: © sive Qnanes O ore. ainsi: me Mothers Full aiden Name: atta Mie Mare Lt Ne instalation Aros: SEAT TRTFORS RaoneTATOMOT Sana Rare earn Saar eT oR ee Nearest Landa Home Ownersti, homes Qersiaee Qreud — Quuimgwinrasies LengtnotSty: or or Peron EmployerBusiness Name: Employer/Business Address: Name Maro or Ses Bag, Cy ov) Curent Employment Positon Length o Serve: Monthly Income: oe mal Adare ee Ration: ‘contact NumbersLenin YOUR ACCOUNT WILL BE AUTOMATICALLY ENROLLED IN PAPERLESS BILLING. ‘You will receive your monthly eStaterent notification in the email address you provided. ‘fm at ra sess species nts tar ah te ease wie ay oh SUB hang PLOT sa ecco fave wily sot eS, ad eS coe a ected ‘ave sies pod tee saan ne anata HO Tasince ROT Rec sna haraces romans omy taka eave ee sOR Sete bsg rato orale rand tno aay» pte Coy ay SOR ‘Ot want o receive a printed copy of my SOA yer ete, unt ay cout lb ile monty Papa BL Charge of Pho 50 VA cluded in ied oy my Saeed e Coreatthe NOTE. SOA Devery arene pes oa new residential subcribers o voce sence wi at Suberibers of vole sre ony wl eave a red copy fe monty SOR and are ‘remote om te Pp 50 hare Secs thysutscgueny ura toa ace soc wh Seta ey las such excpon onan Sony tek content tote Mp SD crge eee) Opusush nor pusuisi sore PLOT to pati my mame aster nd tephane mabe in he Octo Lng ‘orotalow ALD tat y name ae antler ruber nthe Deen ising ‘Gttyaontns leone to maranierac open cemented aaa ‘Serle mle eacnosan accuse ary enor numer My sgnature blow signs that 1. AlLnformaton stated herein and supporting documents submited are true and correct. 2. Atnformatin stated herein and supporting documents submitted are given by me vluntaily to feclitate he processing and evaluation of my application for subscription, 5. hereby suthorize PLOT and/or any person authorized by PLOT to obtain relevant and petnent personal information about mysel and ced nformatin fom the PLOT Group, it seidaves,afilate banks cred car@ companies, and other nancial Instone n the couse of evaluating my appiation and | authorize the release of euch Information by theze compares from which my perzonl dot nd rest nformation are requested. also consent to PLDT dclosre of information concerning mysel ot Imy subserpton to there companies. I acknowledge that a complet lst of the ens under the PLOY Group can be sccessed by mysel on the PLOY webshe [Whee pletnome com paipevacypotey) 4. [also nereby authorize PLOT to use and dslose tothe PLOT Group and its subsidiaries and its authored business partners al nfermation contained inthis application Ineluding the supporting documents submited swell as allinformoton n connection with my subsrption, my netwark/senice sage and conection including dat about she devel eo conect to ou sevice My pyr styrene my substi and a ifrmation Sb myse oM You aes and its subsidiaries and its authorized business partners; () advertising new products and services being offered by PLOT Group and its subsidiaries and its authorized business partner (ere investigation and extabiehing my cedtworthines andl proving customer experienc, 5. hereby acknowledge: The regula submission and dsclosureof my basic credit data Curent Subject and Contract Data to the Cred Information Corporation a5 well 3s ny updates or correctons threo anf) The possible secesto my Curent Subject ana Contract Osta by ater entities authorized bythe Crea inlormaton Corporation. Sind credit reporting agencies duly accredited bythe Cred Information Corporation, forthe purpose of extablening my creditworthiness. 6,1 gree to complete my profe onthe welcome emal that PLT wil end me once my service hs Been activate, understand that nee te accomplsh and submit win ‘ht (5) days upon receipt of te mal ave od and understood the Terms and Conation found on the PLOT website (www pathome.com ph/termsandeanaitions) an shal stiety comply and abide by these rs ad conetions and any future amendment. oe [eee eee ee aes ——— = oe Means eo {Rereunge ar ounonp sogned ieee ofreaues abe trite here ans the new sce See {Alpes west to PLDT see serena poy a won fonatamieseniha court, Teleshone i. sone. poenCades — Shtntty trey ‘nrc ety a tirfomsten er hadeen eed anconect FST Rerearatne Saga ‘Spr Ove te are)